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Agency with Choice

Overview

Agency with Choice is a new option for in-home care that will be available in 2026. There will be no other changes to the in-home care program when this choice is added.

How the new option will work

Providers
The Office of Aging and People with Disabilities (APD) and the Oregon Health Authority (OHA) will contract with up to two agencies to provide Agency with Choice services.

Worker support
The Agency with Choice provider will serve as the employer of direct support workers and will handle recruitment, hiring, training, termination, payroll and benefits.

Consumer support
The Agency with Choice provider will help individuals receiving services select and train the worker, set their schedule and responsibilities, and help individuals with planned worker absences.


Updates

Requests for Proposals for Agency with Choice providers

APD and OHA are seeking to contract with up to two agencies to provide Agency with Choice services. Information about the Request for Proposal (RFP) for Agency with Choice providers is posted on the OregonBuys website. This opportunity has closed, and more information will be provided soon.

This information is being shared as a courtesy only. All official updates about the RFP are provided through OregonBuys.

Notice of proposed rulemaking

A notice of proposed rulemaking for Agency with Choice was posted on July 28, 2025. The public comment period for the rules is open through September 19. The draft rules and public comment information are available on the Notice of Proposed Rulemaking

Consumer Advisory Committee

Planning for Agency with Choice is underway. Your experiences, observations, insights and opinions are valued by ODHS in creating the best possible program.

To support our planning efforts, ODHS is creating a Consumer Advisory Committee on Agency with Choice to help guide the creation of the program. This committee will include individuals who currently receive or have received Medicaid in-home services. When established, the committee will meet virtually every month.

The deadline to apply to join the committee has passed. To learn more about the committee or if you have other questions, send an email to awc.info@odhsoha.oregon.gov.


Background

House Bill 4129, passed during the 2024 Legislative Session, established the Agency with Choice provider type for older adults and people with physical disabilities or for people who have a behavioral health need. This new provider type will be available to all individuals who receive in-home services. Agency with Choice will:

  • Increase choice for a person receiving services; and
  • Offer workers a new option that allows a consumer to direct their own care.

Agency with Choice is expected to launch in 2026.

Individuals would choose to be consumer employers, use an in-home care agency or an Agency with Choice.

More information about Agency with Choice will be provided soon.